Individual
CARRIE SHOCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1336 E STONEY CANYON CIR, ORO VALLEY, AZ 85737-9489
(520) 444-9615
Mailing address
1336 E STONEY CANYON CIR, ORO VALLEY, AZ 85737-9489
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3330
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3330
OCCUPATIONAL THERAPY LICENSE NUMBER
AZ
Enumeration date
09/08/2014
Last updated
09/08/2014
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